Postural management of airway obstruction secondary to Pierre Robin Sequence.

Chun Yiing WONG, Suzina Shiekh AB HAMID, Hazama MOHAMAD, Irfan MOHAMAD

Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia

ABSTRACT

Pierre Robin Sequence commonly presents with upper airway obstruction secondary to craniofacial anomalies and can be managed with several treatment modalities. In mild cases, non-invasive postural management is a good treatment option. Prone position has been established as the posture of choice to reduce potential upper airway obstruction. We report a case of Pierre Robin Sequence with airway obstruction that did not respond to prone position but responded to supine position with slight tilting of the head.

Keywords: Pierre Robin Sequence, respiratory distress syndrome, supine position

Correspondence author: Chun Yiing WONG. Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences,  Universiti Sains Malaysia, 16150 Kota Bharu,  Kelantan, Malaysia.

Tel: +609 7676421 Fax: +609 7676424

E mail: wcy0124@hotmail.com

Brunei Int Med J. 2011; 7 (4): 225-228